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Kaiser Marriage Counseling

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Last Updated: 02 July 2021

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General | Latest Info

After years of state sanctions and fines, Kaiser Permanente claims it has gone a long way toward improving its mental health care. National manage-Care giant Californias largest insurer with 9 million members tout more than 1 200 therapists hired since 2016, improved patient access to appointments and expanded training program for mental health professionals. Regulators at Californias Department of manage Health Care report that Kaiser is meeting benchmarks laid out in the 2017 settlement agreement that result from two years of negotiations. But interviews with dozens of Kaiser Permanente therapists, patients and industry experts paint a more troubling picture of superficial gains that look good on paper but do not translate into more effective and accessible Care. Many Kaiser patients still struggle to access ongoing treatment, often waiting two months between therapy sessions. Kaiser therapists say that HMOs have figured out how to game the system set up by California regulators to measure progress without meaningfully improving Care. They describe models that rely on perfunctory intake interviews, conducted by phone from call centers, to show improved response times for patients seeking initial appointment but then failing to follow through with timely or regular follow-up Care. Initial intake isnt starting treatment. It just means the patient has to explain their experience multiple times, says Kirstin Quinn Siegel, licensed marriage and Family therapist at Kaisers Richmond clinic. It is not the way to improve mental health services. It is a way to improve their numbers. Such allegations are central to five-day walkout planned this week involving thousands of Kaisers mental Health professionals, who are expected to hit picket lines Monday demanding more time for administrative tasks, higher wages and shorter wait times for patient appointments. Of particular concern, according to multiple therapists, is a telehealth program called Connect 2 Care. Patients who call in with mental health issues are offered an appointment, sometimes that same day, for intake assessment conducted by phone with a therapist. Intake calls, which last about 30 minutes, count toward meeting states timely access regulation, which require patients be give initial urgent appointment within 48 hours and non-urgent appointment within 10 days. Standard intake interviews typically last at least an hour and are done in person by a therapist who will provide ongoing treatment, according to the American Psychological Assn. Such visits generally include full medical history, mental status evaluation, initial diagnosis and creation of a treatment plan. In contrast, Kaiser has open large call centers in East Bays Livermore and San Leandro, lined with cubicles where Connect 2 Care therapists provide initial intakes by phone. But patients speak with Connect 2 Care therapist only once. To book follow-up appointment, they often wait four to eight weeks to see a therapist in person who will provide ongoing Care. When they finally get in to see someone, Siegel and others say, patient tell his or her story again, and the new therapist has to do another assessment.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

Treatment Overview

After years of state sanctions and fines, Kaiser Permanente claims it has gone a long way toward improving its mental health care. National manage-Care giant Californias largest insurer with 9 million members tout more than 1 200 therapists hired since 2016, improved patient access to appointments and expanded training program for mental health professionals. Regulators at Californias Department of manage Health Care report that Kaiser is meeting benchmarks laid out in the 2017 settlement agreement that result from two years of negotiations. But interviews with dozens of Kaiser Permanente therapists, patients and industry experts paint a more troubling picture of superficial gains that look good on paper but do not translate into more effective and accessible Care. Many Kaiser patients still struggle to access ongoing treatment, often waiting two months between therapy sessions. Kaiser therapists say that HMOs have figured out how to game the system set up by California regulators to measure progress without meaningfully improving Care. They describe models that rely on perfunctory intake interviews, conducted by phone from call centers, to show improved response times for patients seeking initial appointment, but then fail to follow through with timely or regular follow-up Care. Initial intake isnt starting treatment. It just means the patient has to explain their experience multiple times, says Kirstin Quinn Siegel, licensed marriage and Family therapist at Kaisers Richmond clinic. It is not the way to improve mental health services. It is a way to improve their numbers. Such allegations are central to five-day walkout planned this week involving thousands of Kaisers mental Health professionals, who hit picket lines Monday demanding more time for administrative tasks, higher wages and shorter wait times for patient appointments. Of particular concern, according to multiple therapists, is a telehealth program called Connect 2 Care. Patients who call in with mental health issues are offered an appointment, sometimes that same day, for intake assessment conducted by phone with a therapist. Intake calls, which last about 30 minutes, count toward meeting states timely access regulation, which require patients be give initial urgent appointment within 48 hours and non-urgent appointment within 10 days. Standard intake interviews typically last at least an hour and are done in person by a therapist who will provide ongoing treatment, according to the American Psychological Association. Such visits generally include full medical history, mental status evaluation, initial diagnosis and creation of a treatment plan. In contrast, Kaiser has open large call centers in Livermore and San Leandro, lined with cubicles where Connect 2 Care therapists provide initial intakes by phone. But patients speak with Connect 2 Care therapist only once. To book follow-up appointment, they often wait four to eight weeks to see a therapist in person who will provide ongoing Care. When they finally get in to see someone, say Siegel and others, patient tells his story again, and the new therapist has to do another assessment. Many patients report waiting months between each subsequent appointment.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

Topic Overview

Grief is a natural response to the loss of someone or something very important to you. Loss may cause sadness and may cause you to think of very little else besides loss. Words sorrow and heartache are often used to describe feelings of grief. Anticipatory grief is grief that strikes in advance of impending loss. You may feel anticipatory grief for loved one who is sick and dying. Anticipatory grief helps us prepare for loss. Grieving is a process of emotional and life adjustment you go through after loss. Grieving after love one's death is also known as bereavement. Grieving is a personal experience. Depending on who you are and the nature of your loss, your process of grieving will be different from another person's experience. There is no normal and expected period of time for grieving. A wide range of feelings and symptoms are common during grieving. While you are feeling shock, numbness, sadness, anger, guilt, anxiety, or fear, you may also find moments of relief, peace, or happiness. And although grieving is not simply sadness, blues, or depression, you may become depressed or overly anxious during the grieving process. Stress of grief and grieving can take a physical toll on your body. Sleeplessness is common, as is weaken immune system over time. If you have a chronic illness, grieving can make your condition worse. Social support, good self-care, and passage of time are usually the best medicine for grieving. But if you find that your grief is making it difficult to function for more than a week or two, contact grief counselor or bereavement support group for help. If you have trouble functioning for longer than a couple of weeks because of depression or anxiety, talk to your doctor. Treatment with medicine or counseling can help speed your recovery. Grief and grieving are natural responses to major loss, such as the death of a loved one. Loss can cause feelings of grief, sometimes when you least expect it. You may find that old feelings of grief from past loss can be triggered by current experiences or anniversaries of that loss. This is normal. Anticipatory grief is grief that happens in advance of impending loss. You may feel anticipatory grief because a loved one is sick and dying. Anticipatory grief helps us prepare for loss. Your experience of grief is likely to be different from another person's. Similarly, you will probably grieve somewhat differently each time you experience significant loss. Your reaction to loss is influenced by the relationship you had with the lost person and by your general coping style, personality, and life experiences. How you express grief is influenced in part by the cultural, religious, and social rules of your community. Physical expressions of grief often include crying and sighing, headaches, loss of appetite, difficulty sleeping, weakness, fatigue, feelings of heaviness, aches, pains, and other stress-related ailments. Emotional expressions of grief include feelings of sadness and yearning.


What is a family life cycle?

The emotional and intellectual stages you pass through from childhood to your retirement years as a member of a family are called the family life cycle. In each stage, you face challenges in your family life that allow you to build or gain new skills. Gaining these skills helps you work through changes that nearly every family goes through. Not everyone passes through these stages smoothly. Situations such as severe illness, financial problems, or the death of a loved one can have an effect on how well you pass through stages. Fortunately, if you miss skills in one stage, you can learn them in later stages. Independence. Coupling or marriage. Parenting: babies through adolescents. Launching adult children. Retirement or senior years.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

Sources

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

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